Imoni Saab, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0119010692 Issued in VA

Practice address

21631 Ridgetop Cir
Sterling, VA 20166-6742

Phone

(571) 207-8850

Fax

(571) 210-4934

NPI assigned

Sep 22, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lark Center, Inc.

  • Occupational Therapist
  • Norwood, MA
  • NPI 1669246013
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1104605849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 SAMMY JOE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21631 RIDGETOP CIR",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666742",
            "telephone_number": "571-207-8850",
            "fax_number": "571-210-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAB",
        "first_name": "IMONI",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "15048",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "15048",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "MA",
            "license": "15048",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119010692",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119010692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Runyan
• Ruparelia DDS PC
• Shreyesh S Ruparelia, DDS
• Rxante Pharmacy Services, LLC
• Ryan Crenshaw MD PC
• Saasu Supply LLC
• Kiarash Saba, DMD
• Shadi Saba, DDS
• Dega A Sabrie
• Jyoti Anirudh Sachdev, RPH

• Pediatric Occupational Therapist in Sterling, VA
• Providers in Sterling, VA by specialty
• Pediatric Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.